Claim total
$219.95
base $93.39 · payer covered $184.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2020-04-11
- Stop
- 2020-04-11
The parties
- Patient
- patient Ricky Michal Wisozk
- Provider
- provider Stephaine O'Keefe
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Dual Eligible
Record id
1ed700c5-df9c-e290-cc5e-75932888edda